Oral management of poorly understood Papillon–Lefèvre syndrome – A case report

Rationale: Papillon-Lefèvre syndrome (PLS) is a rare genodermatosis with autosomal-recessive genetic inheritanceand has features mainly palmoplantar hyperkeratosis and rapidly progressing severe periodontitis leading to early loss of deciduous and permanent dentition. Patient Concerns: The patient i...

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Main Authors: Deepak Sharma, Nancy Changra, Priyanka Kharbanda, Shanta Negi, Ankit Mahajan, Suresh Kumar Sachdeva
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:SRM Journal of Research in Dental Sciences
Subjects:
Online Access:http://www.srmjrds.in/article.asp?issn=0976-433X;year=2022;volume=13;issue=3;spage=134;epage=137;aulast=Sharma
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author Deepak Sharma
Nancy Changra
Priyanka Kharbanda
Shanta Negi
Ankit Mahajan
Suresh Kumar Sachdeva
author_facet Deepak Sharma
Nancy Changra
Priyanka Kharbanda
Shanta Negi
Ankit Mahajan
Suresh Kumar Sachdeva
author_sort Deepak Sharma
collection DOAJ
description Rationale: Papillon-Lefèvre syndrome (PLS) is a rare genodermatosis with autosomal-recessive genetic inheritanceand has features mainly palmoplantar hyperkeratosis and rapidly progressing severe periodontitis leading to early loss of deciduous and permanent dentition. Patient Concerns: The patient in the presented report was concerned with loose teeth, gingival bleeding and oral malodour and wanted to get missing teeth replaced. Diagnosis: The diagnosis was made based on medical history, clinical and radiological findings. Interventions: Periodontal phase I therapy included extraction of hopeless teeth, manual and ultrasonic scaling, mechanical and chemical plaque control and periodic maintenance. Missing teeth were restored by removable and fixed prosthesis. Dermatological lesions were conservatively managed. Outcomes: A comprehensive treatment stabilised periodontal disease of the patient and prosthetic rehabilitation improved oral health related quality of life of PLS patient. Lessons: PLS patients require an early diagnosis and a team approach for dermatological, periodontal complications and prosthetic rehabilitation.
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spelling doaj.art-a2e7f5f6b03c483b8b83a1cd370f7a362022-12-22T03:54:32ZengWolters Kluwer Medknow PublicationsSRM Journal of Research in Dental Sciences2772-52432772-52512022-01-0113313413710.4103/srmjrds.srmjrds_40_22Oral management of poorly understood Papillon–Lefèvre syndrome – A case reportDeepak SharmaNancy ChangraPriyanka KharbandaShanta NegiAnkit MahajanSuresh Kumar SachdevaRationale: Papillon-Lefèvre syndrome (PLS) is a rare genodermatosis with autosomal-recessive genetic inheritanceand has features mainly palmoplantar hyperkeratosis and rapidly progressing severe periodontitis leading to early loss of deciduous and permanent dentition. Patient Concerns: The patient in the presented report was concerned with loose teeth, gingival bleeding and oral malodour and wanted to get missing teeth replaced. Diagnosis: The diagnosis was made based on medical history, clinical and radiological findings. Interventions: Periodontal phase I therapy included extraction of hopeless teeth, manual and ultrasonic scaling, mechanical and chemical plaque control and periodic maintenance. Missing teeth were restored by removable and fixed prosthesis. Dermatological lesions were conservatively managed. Outcomes: A comprehensive treatment stabilised periodontal disease of the patient and prosthetic rehabilitation improved oral health related quality of life of PLS patient. Lessons: PLS patients require an early diagnosis and a team approach for dermatological, periodontal complications and prosthetic rehabilitation.http://www.srmjrds.in/article.asp?issn=0976-433X;year=2022;volume=13;issue=3;spage=134;epage=137;aulast=Sharmacathepsin cgenodermatosiskeratodermapapillon–lefèvre syndromeperiodontitis
spellingShingle Deepak Sharma
Nancy Changra
Priyanka Kharbanda
Shanta Negi
Ankit Mahajan
Suresh Kumar Sachdeva
Oral management of poorly understood Papillon–Lefèvre syndrome – A case report
SRM Journal of Research in Dental Sciences
cathepsin c
genodermatosis
keratoderma
papillon–lefèvre syndrome
periodontitis
title Oral management of poorly understood Papillon–Lefèvre syndrome – A case report
title_full Oral management of poorly understood Papillon–Lefèvre syndrome – A case report
title_fullStr Oral management of poorly understood Papillon–Lefèvre syndrome – A case report
title_full_unstemmed Oral management of poorly understood Papillon–Lefèvre syndrome – A case report
title_short Oral management of poorly understood Papillon–Lefèvre syndrome – A case report
title_sort oral management of poorly understood papillon lefevre syndrome a case report
topic cathepsin c
genodermatosis
keratoderma
papillon–lefèvre syndrome
periodontitis
url http://www.srmjrds.in/article.asp?issn=0976-433X;year=2022;volume=13;issue=3;spage=134;epage=137;aulast=Sharma
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AT priyankakharbanda oralmanagementofpoorlyunderstoodpapillonlefevresyndromeacasereport
AT shantanegi oralmanagementofpoorlyunderstoodpapillonlefevresyndromeacasereport
AT ankitmahajan oralmanagementofpoorlyunderstoodpapillonlefevresyndromeacasereport
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